Moundridge Manor
Nursing Home, Hospice Care, Memory Care, Palliative Care & Skilled Nursing · Moundridge, KS
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Moundridge Manor

Nursing Home, Hospice Care, Memory Care, Palliative Care & Skilled Nursing · Moundridge, KS
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Moundridge Manor accepts Medicaid, Medicare, and private pay.

Inspection History

In Kansas, the Department for Aging and Disability Services, Survey and Certification Commission performs the unannounced inspections required for facility licensing and federal certification.

Since 2012 · 14 years of data 12 deficiencies

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Kansas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2012 vs. Kansas state average
Overall vs. KS average 0 Worse No metrics in this bucket. 1 Better Metrics better than Kansas average:
• Total deficiencies (88% below)

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityKS Averagevs. KS Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 12100 This facility has 88% fewer total deficiencies than a typical Kansas nursing home (12 vs. KS avg 100).↓ 88% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • The most recent inspection on May 26, 2012, found deficiencies related to maintaining a sanitary environment in the dining room, specifically staff holding glasses on drinking surfaces. Earlier inspections in April 2012 also cited similar issues with sanitary food handling and serving practices, particularly staff handling drinking glasses by the lip surface during meal service. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. There were no complaint investigations noted in the reports. The inspection history shows repeated citations for infection control related to dining practices, with the facility submitting a plan of correction and a follow-up confirming the correction of at least one deficiency.

Health Inspection History

Inspections since 2023
Total health inspections 3

State average 4.5


Last Health inspection on Sep 2024

Total health citations
8 Rank #6 / 144Health citations — State benchmarkedThis home is ranked 6th out of 144 homes in Kansas for health citations. Shows this facility's total health deficiency citations benchmarked to the Kansas State average, with a ranking across all 144 KS facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Kansas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 26.9

Citations per inspection
2.67 Rank #3 / 144Citations per inspection — State benchmarkedThis home is ranked 3rd out of 144 homes in Kansas for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Kansas mean across 144 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Kansas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 6.07


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

7 of 8 citations resulted from standard inspections; and 1 of 8 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical health citations
1
11% worse than State average

State average: 0.9


Serious health citations
2
122% worse than State average

State average: 0.9

1 critical citation State average: 0.9

2 serious citations State average: 0.9

5 moderate citations State average: 24.6

0 minor citations State average: 0.5
Citations history (last 3 years)
Administration moderate citation Sep 25, 2024
Corrected

Nutrition moderate citation Sep 25, 2024
Corrected

Quality of Care serious citation Sep 25, 2024
Corrected

Quality of Care critical citation Apr 18, 2023
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 161
Employees 153
Contractors 8
Staff to resident ratio 2.21 : 1
0% compared with Kansas average
Kansas average ratio: 2.24 : 1 Kansas average ratio: 2.24 : 1See full Kansas ranking
Avg staff/day 58
Average shift 7.3 hours
5% worse than Kansas average
Kansas average: 7.7 hours Kansas average shift: 7.7 hoursSee full Kansas ranking
Total staff hours (quarter) 38,831

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 8 RN Staff are full-time employees. No contractors work on this role. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 11 LPN Staff are full-time employees. No contractors work on this role. 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 83 CNA Staff are full-time employees. No contractors work on this role. 83
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.4 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

1.2%

474 contractor hours this quarter

Respiratory Therapy Technician: 3 Qualified Social Worker: 2 Physical Therapy Assistant: 1 Occupational Therapy Assistant: 1 Occupational Therapy Aide: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant8308319,36292100%7.4
Medication Aide/Technician230235,18792100%7.4
Licensed Practical Nurse110113,64792100%7.8
Clinical Nurse Specialist7072,2797076%8.1
Registered Nurse8081,9679199%8.1
Dietitian4041,0486470%7.7
Administrator2021,0108795%6.9
Therapeutic Recreation Specialist2029726672%8.2
Nurse Practitioner2029256470%7.9
Other Dietary Services Staff5057575459%7.7
RN Director of Nursing3036016571%6.3
Dental Services Staff2025796368%5.2
Respiratory Therapy Technician0331916267%3
Physical Therapy Assistant0111705459%3.2
Qualified Social Worker022723336%2.2
Mental Health Service Worker1012467%4.1
Occupational Therapy Assistant0112133%7
Occupational Therapy Aide0112033%6.8
83 Certified Nursing Assistant
% of Days 100%
23 Medication Aide/Technician
% of Days 100%
11 Licensed Practical Nurse
% of Days 100%
7 Clinical Nurse Specialist
% of Days 76%
8 Registered Nurse
% of Days 99%
4 Dietitian
% of Days 70%
2 Administrator
% of Days 95%
2 Therapeutic Recreation Specialist
% of Days 72%
2 Nurse Practitioner
% of Days 70%
5 Other Dietary Services Staff
% of Days 59%
3 RN Director of Nursing
% of Days 71%
2 Dental Services Staff
% of Days 68%
3 Respiratory Therapy Technician
% of Days 67%
1 Physical Therapy Assistant
% of Days 59%
2 Qualified Social Worker
% of Days 36%
1 Mental Health Service Worker
% of Days 7%
1 Occupational Therapy Assistant
% of Days 3%
1 Occupational Therapy Aide
% of Days 3%

Penalties and fines

Includes penalties issued in 2024

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $46K Rank #97 / 144Federal fines — State benchmarkedThis home is ranked 97th out of 144 homes in Kansas for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Kansas average among facilities with fines, and where it ranks among 144 facilities in the pool. Lower total dollars mean a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Kansas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
In line with Kansas average

Kansas average: $44K

Number of fines 3
24% more fines than Kansas average

Kansas average: 2.4

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 1
200% more payment denials than Kansas average

Kansas average: 0.3

Fines amount comparison
Fines amount comparison
This facility $46K
Kansas average $44K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Sep 25, 2024 · $20K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Sep 25, 2024
$20K

Last updated: Jan 2026

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 7.7
27% better than Kansas average

Kansas average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 13.7
34% better than Kansas average

Kansas average: 20.7

Long-stay resident measures
Significantly above average Kansas avg: 3.0 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 14.4%
24% better than Kansas average

Kansas average: 19.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 11.4%
41% better than Kansas average

Kansas average: 19.4%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 15.3%
36% better than Kansas average

Kansas average: 23.8%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.0%
9% better than Kansas average

Kansas average: 4.4%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.1%
9% worse than Kansas average

Kansas average: 4.6%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.7%
78% better than Kansas average

Kansas average: 3.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.5%
31% better than Kansas average

Kansas average: 5.1%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 8.0%
56% worse than Kansas average

Kansas average: 5.2%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 6.7%
60% better than Kansas average

Kansas average: 16.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.0%
7% better than Kansas average

Kansas average: 91.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.4%
In line with Kansas average

Kansas average: 95.5%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 0.87
53% better than Kansas average

Kansas average: 1.84

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.51
30% better than Kansas average

Kansas average: 2.16

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 79.4%
5% better than Kansas average

Kansas average: 75.6%

Breakdown by payment type

Medicare

6% of new residents, usually for short-term rehab.

Typical stay 5 months

Private pay

59% of new residents, often for short stays.

Typical stay 10 - 11 months

Medicaid

35% of new residents, often for long-term daily care.

Typical stay 2 - 3 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 73
Medicaid
51
69.9% of residents
Private pay or other
22
30.1% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Nonprofit
Church Related
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.6M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.5M
Nonprofit Church Related
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.6M Rank #63 / 143Revenue — State benchmarkedThis home is ranked 63rd out of 143 homes in Kansas for revenue. Shows this facility's annual revenue compared to the Kansas average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Kansas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.5M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$1.7M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #30 / 143Payroll — State benchmarkedThis home is ranked 30th out of 143 homes in Kansas for payroll. Shows total annual staff payroll benchmarked to the Kansas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Kansas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$6.9M 90.4% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #2 / 143Payroll % — State benchmarkedThis home is ranked 2nd out of 143 homes in Kansas for payroll %. Shows payroll as a percentage of revenue versus the Kansas average. Well-run Kansas facilities typically land around 57–67% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Kansas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.3M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$9.2M

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Most new residents arrive under private pay (59% of admissions), and a typical private pay stay runs around 10 - 11 months.

Admissions
54 total

Coverage residents most often arrive under.

Medicare 6%
Private pay 59%
Medicaid 35%
Discharges
54 total

Coverage residents most often leave under.

Medicare 4%
Private pay 57%
Medicaid 39%

Places of interest near Moundridge Manor

Address 0.0 miles from city center Info Estimated distance in miles from Moundridge's city center to Moundridge Manor's address, calculated via Google Maps.

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Address

Compare Nursing Homes around the area

Info below is compiled from CMS reports & the KS Dept. for Aging & Disability Services (KDADS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

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175478
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AL
IL
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95
Facility 95
KS AVG 69
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33.7%
Facility 33.7%
KS AVG 76.8
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4.47
Facility 4.47
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14
Facility 14
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Abigail Poff
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Facility $3.5MFiscal year ending 06/2024
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Bethel Health Care Center
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PC
RC
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Facility 65
KS AVG 69
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5
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29
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175402
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12
Facility 12
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175514
Moundridge Manor
NH
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MC
PC
SNF
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175553

Frequently Asked Questions about Moundridge Manor

Is Moundridge Manor in a walkable area?

Moundridge Manor has a walk score of 43. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Moundridge Manor?

According to KS state health department records, Moundridge Manor's license number is 175553.

What is the occupancy rate at Moundridge Manor?

Moundridge Manor's occupancy is 91%.

Are pets allowed at Moundridge Manor?

No, Moundridge Manor has a no-pet policy.

Does Moundridge Manor operate as a for-profit or non-profit?

Moundridge Manor is registered as a non-profit in KS.

Who is the administrator of Moundridge Manor?

Kevin Wade Unruh is the administrator of Moundridge Manor.

How many beds does Moundridge Manor have?

Moundridge Manor has 78 beds.

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